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1225247315
SUSAN RA
SEVERNA PARK, MD
NPI
1225247315
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MD 13346)
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
-- SUSAN RA DDS
156 RITCHIE HWY
SEVERNA PARK, MD 21146-1117
Phone number: 410-647-1800
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Mailing Address
-- SUSAN RA DDS
2418 HUDSON ST
BALTIMORE, MD 21224-3637
Phone number: 410-925-6257
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